Guia de Implementação da SES GO - Medicamentos
1.2.3 - draft

Guia de Implementação da SES GO - Medicamentos - Downloaded Version 1.2.3 See the Directory of published versions

## Perfil: PrescricaoMedicamento - Descrição detalhada

Draft as of 2026-03-09

Definições para prescricao-medicamento perfil.

- Elementos distintos
- Elementos
- Instantâneo

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. MedicationRequest
2. MedicationRequest.implicitRules
Controlo | 0..0
4. MedicationRequest.language
Controlo | 0..0
6. MedicationRequest.contained
Controlo | 0..0
8. MedicationRequest.identifier
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 0..0
10. MedicationRequest.statusReason
Controlo | 0..0
12. MedicationRequest.category
Controlo | 0..0
14. MedicationRequest.priority
Controlo | 0..0
16. MedicationRequest.doNotPerform
Controlo | 0..0
18. MedicationRequest.reported[x]
Controlo | 0..0
20. MedicationRequest.medication[x]
Definição | Identificação e informações sobre o medicamento prescrito.
Curto | Medicamento
Vínculo | Para exemplos de códigos, ver SNOMEDCTMedicationCodes (example to `http://hl7.org/fhir/ValueSet/medication-codes` ) Justificativa da ausência de dados estruturados sobre o medicamento.
Tipo | Escolha de: CodeableConcept, Reference(Medicamento para Gestão de Estoque)
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
22. MedicationRequest.subject
Definição | Quem ou o quê a composição se refere. Pode ser um indivíduo, dispositivo, grupos (de indivíduos, dispositivos etc.).
Curto | Sujeito da Composição
Tipo | Reference(Indivíduo)
24. MedicationRequest.subject.reference
Controlo | 0..0
26. MedicationRequest.subject.type
Controlo | 0..0
28. MedicationRequest.subject.identifier
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 1..?
30. MedicationRequest.subject.identifier.use
Controlo | 0..0
32. MedicationRequest.subject.identifier.type
Controlo | 0..0
34. MedicationRequest.subject.identifier.system
Controlo | 1..?
36. MedicationRequest.subject.identifier.value
Controlo | 1..?
38. MedicationRequest.subject.identifier.period
Controlo | 0..0
40. MedicationRequest.subject.identifier.assigner
Controlo | 0..0
42. MedicationRequest.subject.display
Controlo | 0..0
44. MedicationRequest.encounter
Controlo | 0..0
46. MedicationRequest.supportingInformation
Controlo | 0..0
48. MedicationRequest.authoredOn
Definição | Data e hora da prescrição realizada.
Curto | Data e hora da prescrição
Controlo | 1..?
50. MedicationRequest.requester
Definição | Identifica pelo número de inscrição no Cadastro Nacional de Estabelecimentos de Saúde o Estabelecimento de Saúde que realizou a prescrição de medicamento.
Curto | Estabelecimento de Saúde prescritor
Tipo | Reference(Estabelecimento de Saúde)
52. MedicationRequest.requester.reference
Controlo | 0..0
54. MedicationRequest.requester.type
Controlo | 0..0
56. MedicationRequest.requester.identifier
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 1..?
58. MedicationRequest.requester.identifier.use
Controlo | 0..0
60. MedicationRequest.requester.identifier.type
Controlo | 0..0
62. MedicationRequest.requester.identifier.system
Controlo | 1..?
64. MedicationRequest.requester.identifier.value
Controlo | 1..?
66. MedicationRequest.requester.identifier.period
Controlo | 0..0
68. MedicationRequest.requester.identifier.assigner
Controlo | 0..0
70. MedicationRequest.requester.display
Controlo | 0..0
72. MedicationRequest.performer
Controlo | 0..0
74. MedicationRequest.performerType
Controlo | 0..0
76. MedicationRequest.recorder
Definição | Identificação e informações do profissional que realizou a prescrição de medicamento.
Curto | Profissional prescritor
Controlo | 1..?
Tipo | Reference(Profissional)
78. MedicationRequest.recorder.reference
Controlo | 0..0
80. MedicationRequest.recorder.type
Controlo | 0..0
82. MedicationRequest.recorder.identifier
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 1..?
84. MedicationRequest.recorder.identifier.use
Controlo | 0..0
86. MedicationRequest.recorder.identifier.type
Controlo | 0..0
88. MedicationRequest.recorder.identifier.system
Controlo | 1..?
90. MedicationRequest.recorder.identifier.value
Controlo | 1..?
92. MedicationRequest.recorder.identifier.period
Controlo | 0..0
94. MedicationRequest.recorder.identifier.assigner
Controlo | 0..0
96. MedicationRequest.recorder.display
Controlo | 0..0
98. MedicationRequest.reasonCode
Controlo | 0..0
100. MedicationRequest.reasonReference
Controlo | 1..?
Tipo | Reference(Justificativa da Dispensação do Medicamento)
102. MedicationRequest.instantiatesCanonical
Controlo | 0..0
104. MedicationRequest.instantiatesUri
Controlo | 0..0
106. MedicationRequest.basedOn
Controlo | 0..0
108. MedicationRequest.groupIdentifier
Controlo | 0..0
110. MedicationRequest.courseOfTherapyType
Controlo | 0..0
112. MedicationRequest.insurance
Controlo | 0..0
114. MedicationRequest.note
Definição | Definição da descrição do uso do medicamento e prescrição não estruturada.
Curto | Notas não estruturadas
Controlo | 0..1
116. MedicationRequest.dosageInstruction
Controlo | 0..1
118. MedicationRequest.dosageInstruction.sequence
Controlo | 0..0
120. MedicationRequest.dosageInstruction.text
Definição | Descrição da prescrição e/ou posologia de medicamento de forma livre, em texto. O profissional prescritor deverá descrever todas as informações necessárias a uma prescrição e/ou posologia, entre outros elementos relevantes.
Curto | Prescrição e/ou Posologia Não Estruturada
122. MedicationRequest.dosageInstruction.additionalInstruction
Controlo | 0..0
124. MedicationRequest.dosageInstruction.patientInstruction
Definição | Orientações sobre o uso do medicamento prescrito.
Curto | Orientações sobre o uso do medicamento
126. MedicationRequest.dosageInstruction.timing
Definição | Frequência de uso do medicamento
Curto | Frequência de uso do medicamento
128. MedicationRequest.dosageInstruction.timing.event
Controlo | 0..0
130. MedicationRequest.dosageInstruction.timing.repeat
Controlo | 1..?
132. MedicationRequest.dosageInstruction.timing.repeat.extension:period
Nome da fatia | period
Definição | Descritor quantitativo da unidade de tempo entre doses.
Curto | Extensão - Intervalo entre doses
Controlo | 0..1
Tipo | Extension(BRIntervaloDoses) (Extensão complexa)
134. MedicationRequest.dosageInstruction.timing.repeat.extension:when
Nome da fatia | when
Definição | Em qual momento do dia ocorre o consumo do medicamento: Manhã, tarde, noite.
Curto | Extensão - Turno do dia
Controlo | 0..1
Tipo | Extension(BRTurno) (Tipo de extensão: code)
136. MedicationRequest.dosageInstruction.timing.repeat.extension:when.value[x]
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
138. MedicationRequest.dosageInstruction.timing.repeat.extension:when.value[x].id
Controlo | 0..0
140. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]
Controlo | 0..0
142. MedicationRequest.dosageInstruction.timing.repeat.count
Definição | Número de doses a cada uso do medicamento (ex.: 1x, 2x, 3x 4x etc.)
Curto | Repetições de dose
Controlo | 1..?
144. MedicationRequest.dosageInstruction.timing.repeat.countMax
Definição | Representa a quantidade total de doses prescritas para o medicamento: se for mais de uma, deve ser considerado como 'Dose Contínua'; do contrário, deve ser considerado como 'Dose Única'.
Curto | Quantidade total de doses
Controlo | 1..?
Valor mínimo | 1
Valor máximo | 2147483647
146. MedicationRequest.dosageInstruction.timing.repeat.duration
Controlo | 0..0
148. MedicationRequest.dosageInstruction.timing.repeat.durationMax
Controlo | 0..0
150. MedicationRequest.dosageInstruction.timing.repeat.durationUnit
Controlo | 0..0
152. MedicationRequest.dosageInstruction.timing.repeat.frequency
Definição | Intervalo, em horas, de cada uso do medicamento.
Curto | Intervalo de dose
154. MedicationRequest.dosageInstruction.timing.repeat.frequencyMax
Controlo | 0..0
156. MedicationRequest.dosageInstruction.timing.repeat.period
Definição | Descritor quantitativo da unidade de tempo entre doses.
Curto | Intervalo entre doses
Controlo | 0..0
158. MedicationRequest.dosageInstruction.timing.repeat.periodMax
Controlo | 0..0
160. MedicationRequest.dosageInstruction.timing.repeat.periodUnit
Definição | Unidade de tempo entre doses (ex.: hora, dia, semana, mês etc.), em unidades UCUM.
Curto | Unidade de tempo entre doses
Controlo | 0..0
162. MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek
Controlo | 0..0
164. MedicationRequest.dosageInstruction.timing.repeat.timeOfDay
Controlo | 0..0
166. MedicationRequest.dosageInstruction.timing.repeat.when
Definição | Em qual momento do dia ocorre o consumo do medicamento: Manhã, tarde, noite.
Curto | Turno do dia
Controlo | 0..0
168. MedicationRequest.dosageInstruction.timing.repeat.offset
Controlo | 0..0
170. MedicationRequest.dosageInstruction.timing.code
Controlo | 0..0
172. MedicationRequest.dosageInstruction.asNeeded[x]
Definição | Representa a necessidade do uso contínuo do medicamento.
Curto | Uso se necessário
Tipo | boolean
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
174. MedicationRequest.dosageInstruction.site
Controlo | 0..0
176. MedicationRequest.dosageInstruction.route
Definição | Via de Adiministração do medicamento prescrito.
Curto | Via de Administração
Controlo | 1..?
Vínculo | Os códigos DEVERÃO ser retirados de Via de Administração do Imunobiológico (required to `http://www.saude.gov.br/fhir/r4/ValueSet/BRViaAdministracao-1.0` ) Via de Administração
178. MedicationRequest.dosageInstruction.method
Controlo | 0..0
180. MedicationRequest.dosageInstruction.doseAndRate
Controlo | 0..1
182. MedicationRequest.dosageInstruction.doseAndRate.type
Definição | Unidade de consumo do medicamento prescrito (ex.: comprimido, cápsula, aplicação, mL, gota, copo dosador, infusão etc.).
Curto | Unidade de consumo da dose
Controlo | 1..?
Vínculo | Os códigos DEVERÃO ser retirados de Unidade de Consumo (required to `http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeConsumo` ) Unidade de consumo da dose
184. MedicationRequest.dosageInstruction.doseAndRate.type.coding
Vínculo | Os códigos DEVERÃO ser retirados de Unidade de Consumo (required to `http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeConsumo` ) Determina a unidade de consumo
186. MedicationRequest.dosageInstruction.doseAndRate.type.coding.version
Nota | Este é um ID de versão comercial, não um ID de versão de recurso (ver discussão)
Controlo | 0..0
188. MedicationRequest.dosageInstruction.doseAndRate.type.coding.display
Controlo | 0..0
190. MedicationRequest.dosageInstruction.doseAndRate.type.coding.userSelected
Controlo | 0..0
192. MedicationRequest.dosageInstruction.doseAndRate.type.text
Controlo | 0..0
194. MedicationRequest.dosageInstruction.doseAndRate.dose[x]
Definição | Quantidade da unidade de consumo do medicamento prescrito a cada dose.
Curto | Quantidade da Dose
Controlo | 1..?
Tipo | Quantity(SimpleQuantity)
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
196. MedicationRequest.dosageInstruction.doseAndRate.dose[x].unit
Controlo | 0..0
198. MedicationRequest.dosageInstruction.doseAndRate.dose[x].system
Controlo | 0..0
200. MedicationRequest.dosageInstruction.doseAndRate.dose[x].code
Controlo | 0..0
202. MedicationRequest.dosageInstruction.doseAndRate.rate[x]
Controlo | 0..0
Tipo | Quantity(SimpleQuantity)
204. MedicationRequest.dosageInstruction.maxDosePerPeriod
Controlo | 0..0
206. MedicationRequest.dosageInstruction.maxDosePerAdministration
Definição | Quantidade máxima da dose a ser dispensada por atendimento.
Curto | Quantidade a ser dispensada por atendimento
Controlo | 1..?
208. MedicationRequest.dosageInstruction.maxDosePerAdministration.unit
Controlo | 0..0
210. MedicationRequest.dosageInstruction.maxDosePerAdministration.system
Controlo | 0..0
212. MedicationRequest.dosageInstruction.maxDosePerAdministration.code
Controlo | 0..0
214. MedicationRequest.dosageInstruction.maxDosePerLifetime
Controlo | 0..0
216. MedicationRequest.dispenseRequest
218. MedicationRequest.dispenseRequest.initialFill
Controlo | 0..0
220. MedicationRequest.dispenseRequest.dispenseInterval
Definição | Intervalo, em horas, de cada uso do medicamento.
Curto | Intervalo em horas de cada dose do medicamento
Controlo | 0..0
222. MedicationRequest.dispenseRequest.validityPeriod
Definição | Representa a duração do uso do medicamento prescrito.
Curto | Duração de uso do medicamento
Controlo | 1..?
224. MedicationRequest.dispenseRequest.numberOfRepeatsAllowed
Controlo | 0..0
226. MedicationRequest.dispenseRequest.quantity
Curto | Total do tratamento
228. MedicationRequest.dispenseRequest.quantity.value
Controlo | 1..?
230. MedicationRequest.dispenseRequest.quantity.unit
Controlo | 0..0
232. MedicationRequest.dispenseRequest.quantity.system
Controlo | 0..0
234. MedicationRequest.dispenseRequest.quantity.code
Controlo | 0..0
236. MedicationRequest.dispenseRequest.expectedSupplyDuration
Controlo | 0..0
238. MedicationRequest.dispenseRequest.performer
Controlo | 0..0
240. MedicationRequest.substitution
Controlo | 0..0
242. MedicationRequest.priorPrescription
Controlo | 0..0
244. MedicationRequest.detectedIssue
Controlo | 0..0
246. MedicationRequest.eventHistory
Controlo | 0..0

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. MedicationRequest
Definição | An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.
Curto | Ordering of medication for patient or group
Controlo | 0..*
É modificador | false
Resumo | false
Nomes alternativos | Prescription, Order
Invariantes | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. MedicationRequest.implicitRules
Definição | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Curto | A set of rules under which this content was created
Comentários | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Controlo | 0..01
Tipo | uri
É modificador | true porque This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. MedicationRequest.language
Definição | The base language in which the resource is written.
Curto | Language of the resource content
Comentários | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Controlo | 0..01
Vínculo | Os códigos DEVERÃO ser retirados de CommonLanguages http://hl7.org/fhir/ValueSet/languages|4.0.1 (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. MedicationRequest.contained
Definição | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Curto | Contained, inline Resources
Comentários | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Controlo | 0..0*
Tipo | Resource
É modificador | false
Resumo | false
Nomes alternativos | inline resources, anonymous resources, contained resources
8. MedicationRequest.modifierExtension
Definição | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Curto | Extensions that cannot be ignored
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Resumo | false
Requisitos | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. MedicationRequest.identifier
Definição | Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.
Curto | External ids for this request
Comentários | This is a business identifier, not a resource identifier.
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 0..0*
Tipo | Identifier
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. MedicationRequest.status
Definição | A code specifying the current state of the order. Generally, this will be active or completed state.
Curto | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Comentários | This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
Controlo | 1..1
Vínculo | Os códigos DEVERÃO ser retirados de medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 (required to `http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1` ) A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
Tipo | code
É modificador | true porque This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. MedicationRequest.statusReason
Definição | Captures the reason for the current state of the MedicationRequest.
Curto | Reason for current status
Comentários | This is generally only used for "exception" statuses such as "suspended" or "cancelled". The reason why the MedicationRequest was created at all is captured in reasonCode, not here.
Controlo | 0..01
Vínculo | Para exemplos de códigos, ver medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason|4.0.1 (example to `http://hl7.org/fhir/ValueSet/medicationrequest-status-reason|4.0.1` ) Identifies the reasons for a given status.
Tipo | CodeableConcept
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. MedicationRequest.intent
Definição | Whether the request is a proposal, plan, or an original order.
Curto | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Comentários | It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only. An instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record. This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.
Controlo | 1..1
Vínculo | Os códigos DEVERÃO ser retirados de medicationRequest Intent http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 (required to `http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1` ) The kind of medication order.
Tipo | code
É modificador | true porque This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. MedicationRequest.category
Definição | Indicates the type of medication request (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).
Curto | Type of medication usage
Comentários | The category can be used to include where the medication is expected to be consumed or other types of requests.
Controlo | 0..0*
Vínculo | Para exemplos de códigos, ver medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category|4.0.1 (example to `http://hl7.org/fhir/ValueSet/medicationrequest-category|4.0.1` ) A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
Tipo | CodeableConcept
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. MedicationRequest.priority
Definição | Indicates how quickly the Medication Request should be addressed with respect to other requests.
Curto | routine | urgent | asap | stat
Controlo | 0..01
Vínculo | Os códigos DEVERÃO ser retirados de RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 (required to `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` ) Identifies the level of importance to be assigned to actioning the request.
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. MedicationRequest.doNotPerform
Definição | If true indicates that the provider is asking for the medication request not to occur.
Curto | True if request is prohibiting action
Comentários | If do not perform is not specified, the request is a positive request e.g. "do perform".
Controlo | 0..01
Tipo | boolean
É modificador | true porque This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc)
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. MedicationRequest.reported[x]
Definição | Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth record. It may also indicate the source of the report.
Curto | Reported rather than primary record
Controlo | 0..01
Tipo | Escolha de: boolean, Reference(Patient, Practitioner, PractitionerRole, RelatedPerson, Organization)
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. MedicationRequest.medication[x]
Definição | Identificação e informações sobre o medicamento prescrito. Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.
Curto | MedicamentoMedication to be taken
Comentários | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.
Controlo | 1..1
Vínculo | Para exemplos de códigos, ver SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes|4.0.1 (example to `http://hl7.org/fhir/ValueSet/medication-codes` ) Justificativa da ausência de dados estruturados sobre o medicamento. A coded concept identifying substance or product that can be ordered.
Tipo | Escolha de: CodeableConcept, Reference(Medicamento para Gestão de Estoque, Medication)
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. MedicationRequest.subject
Definição | Quem ou o quê a composição se refere. Pode ser um indivíduo, dispositivo, grupos (de indivíduos, dispositivos etc.). A link to a resource representing the person or set of individuals to whom the medication will be given.
Curto | Sujeito da ComposiçãoWho or group medication request is for
Comentários | The subject on a medication request is mandatory. For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified.
Controlo | 1..1
Tipo | Reference(Indivíduo, Patient, Group)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. MedicationRequest.subject.reference
Definição | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Curto | Literal reference, Relative, internal or absolute URL
Comentários | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Controlo | 0..01 Este elemento é afetado pelas seguintes invariantes: ref-1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. MedicationRequest.subject.type
Definição | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
Curto | Type the reference refers to (e.g. "Patient")
Comentários | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Controlo | 0..01
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceType http://hl7.org/fhir/ValueSet/resource-types|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/resource-types|4.0.1` ) Aa resource (or, for logical models, the URI of the logical model).
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. MedicationRequest.subject.identifier
Definição | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Curto | Logical reference, when literal reference is not known
Comentários | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 10..1
Tipo | Identifier
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. MedicationRequest.subject.identifier.use
Definição | The purpose of this identifier.
Curto | usual | official | temp | secondary | old (If known)
Comentários | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Controlo | 0..01
Vínculo | Os códigos DEVERÃO ser retirados de IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. MedicationRequest.subject.identifier.type
Definição | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Curto | Description of identifier
Comentários | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Controlo | 0..01
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/identifier-type|4.0.1` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | Allows users to make use of identifiers when the identifier system is not known.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. MedicationRequest.subject.identifier.system
Definição | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Curto | The namespace for the identifier value
Comentários | Identifier.system is always case sensitive.
Controlo | 10..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Exemplo | General: http://www.acme.com/identifiers/patient
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. MedicationRequest.subject.identifier.value
Definição | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Curto | The value that is unique
Comentários | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Controlo | 10..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Exemplo | General: 123456
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. MedicationRequest.subject.identifier.period
Definição | Time period during which identifier is/was valid for use.
Curto | Time period when id is/was valid for use
Controlo | 0..01
Tipo | Period
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. MedicationRequest.subject.identifier.assigner
Definição | Organization that issued/manages the identifier.
Curto | Organization that issued id (may be just text)
Comentários | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Controlo | 0..01
Tipo | Reference(Organization)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. MedicationRequest.subject.display
Definição | Plain text narrative that identifies the resource in addition to the resource reference.
Curto | Text alternative for the resource
Comentários | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Controlo | 0..01
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. MedicationRequest.encounter
Definição | The Encounter during which this [x] was created or to which the creation of this record is tightly associated.
Curto | Encounter created as part of encounter/admission/stay
Comentários | This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter." If there is a need to link to episodes of care they will be handled with an extension.
Controlo | 0..01
Tipo | Reference(Encounter)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. MedicationRequest.supportingInformation
Definição | Include additional information (for example, patient height and weight) that supports the ordering of the medication.
Curto | Information to support ordering of the medication
Controlo | 0..0*
Tipo | Reference(Resource)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. MedicationRequest.authoredOn
Definição | Data e hora da prescrição realizada. The date (and perhaps time) when the prescription was initially written or authored on.
Curto | Data e hora da prescriçãoWhen request was initially authored
Controlo | 10..1
Tipo | dateTime
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. MedicationRequest.requester
Definição | Identifica pelo número de inscrição no Cadastro Nacional de Estabelecimentos de Saúde o Estabelecimento de Saúde que realizou a prescrição de medicamento. The individual, organization, or device that initiated the request and has responsibility for its activation.
Curto | Estabelecimento de Saúde prescritorWho/What requested the Request
Controlo | 0..1
Tipo | Reference(Estabelecimento de Saúde, Practitioner, PractitionerRole, Organization, Patient, RelatedPerson, Device)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. MedicationRequest.requester.reference
Definição | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Curto | Literal reference, Relative, internal or absolute URL
Comentários | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Controlo | 0..01 Este elemento é afetado pelas seguintes invariantes: ref-1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
60. MedicationRequest.requester.type
Definição | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
Curto | Type the reference refers to (e.g. "Patient")
Comentários | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Controlo | 0..01
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceType http://hl7.org/fhir/ValueSet/resource-types|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/resource-types|4.0.1` ) Aa resource (or, for logical models, the URI of the logical model).
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
62. MedicationRequest.requester.identifier
Definição | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Curto | Logical reference, when literal reference is not known
Comentários | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 10..1
Tipo | Identifier
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
64. MedicationRequest.requester.identifier.use
Definição | The purpose of this identifier.
Curto | usual | official | temp | secondary | old (If known)
Comentários | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Controlo | 0..01
Vínculo | Os códigos DEVERÃO ser retirados de IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. MedicationRequest.requester.identifier.type
Definição | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Curto | Description of identifier
Comentários | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Controlo | 0..01
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/identifier-type|4.0.1` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | Allows users to make use of identifiers when the identifier system is not known.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
68. MedicationRequest.requester.identifier.system
Definição | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Curto | The namespace for the identifier value
Comentários | Identifier.system is always case sensitive.
Controlo | 10..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Exemplo | General: http://www.acme.com/identifiers/patient
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
70. MedicationRequest.requester.identifier.value
Definição | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Curto | The value that is unique
Comentários | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Controlo | 10..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Exemplo | General: 123456
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. MedicationRequest.requester.identifier.period
Definição | Time period during which identifier is/was valid for use.
Curto | Time period when id is/was valid for use
Controlo | 0..01
Tipo | Period
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. MedicationRequest.requester.identifier.assigner
Definição | Organization that issued/manages the identifier.
Curto | Organization that issued id (may be just text)
Comentários | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Controlo | 0..01
Tipo | Reference(Organization)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
76. MedicationRequest.requester.display
Definição | Plain text narrative that identifies the resource in addition to the resource reference.
Curto | Text alternative for the resource
Comentários | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Controlo | 0..01
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
78. MedicationRequest.performer
Definição | The specified desired performer of the medication treatment (e.g. the performer of the medication administration).
Curto | Intended performer of administration
Controlo | 0..01
Tipo | Reference(Practitioner, PractitionerRole, Organization, Patient, Device, RelatedPerson, CareTeam)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
80. MedicationRequest.performerType
Definição | Indicates the type of performer of the administration of the medication.
Curto | Desired kind of performer of the medication administration
Comentários | If specified without indicating a performer, this indicates that the performer must be of the specified type. If specified with a performer then it indicates the requirements of the performer if the designated performer is not available.
Controlo | 0..01
Vínculo | Para exemplos de códigos, ver ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role|4.0.1 (example to `http://hl7.org/fhir/ValueSet/performer-role|4.0.1` ) Identifies the type of individual that is desired to administer the medication.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
82. MedicationRequest.recorder
Definição | Identificação e informações do profissional que realizou a prescrição de medicamento. The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.
Curto | Profissional prescritorPerson who entered the request
Controlo | 10..1
Tipo | Reference(Profissional, Practitioner, PractitionerRole)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
84. MedicationRequest.recorder.reference
Definição | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Curto | Literal reference, Relative, internal or absolute URL
Comentários | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Controlo | 0..01 Este elemento é afetado pelas seguintes invariantes: ref-1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
86. MedicationRequest.recorder.type
Definição | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
Curto | Type the reference refers to (e.g. "Patient")
Comentários | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Controlo | 0..01
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceType http://hl7.org/fhir/ValueSet/resource-types|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/resource-types|4.0.1` ) Aa resource (or, for logical models, the URI of the logical model).
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
88. MedicationRequest.recorder.identifier
Definição | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Curto | Logical reference, when literal reference is not known
Comentários | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 10..1
Tipo | Identifier
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
90. MedicationRequest.recorder.identifier.use
Definição | The purpose of this identifier.
Curto | usual | official | temp | secondary | old (If known)
Comentários | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Controlo | 0..01
Vínculo | Os códigos DEVERÃO ser retirados de IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
92. MedicationRequest.recorder.identifier.type
Definição | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Curto | Description of identifier
Comentários | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Controlo | 0..01
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/identifier-type|4.0.1` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | Allows users to make use of identifiers when the identifier system is not known.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
94. MedicationRequest.recorder.identifier.system
Definição | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Curto | The namespace for the identifier value
Comentários | Identifier.system is always case sensitive.
Controlo | 10..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Exemplo | General: http://www.acme.com/identifiers/patient
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
96. MedicationRequest.recorder.identifier.value
Definição | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Curto | The value that is unique
Comentários | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Controlo | 10..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Exemplo | General: 123456
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
98. MedicationRequest.recorder.identifier.period
Definição | Time period during which identifier is/was valid for use.
Curto | Time period when id is/was valid for use
Controlo | 0..01
Tipo | Period
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
100. MedicationRequest.recorder.identifier.assigner
Definição | Organization that issued/manages the identifier.
Curto | Organization that issued id (may be just text)
Comentários | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Controlo | 0..01
Tipo | Reference(Organization)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
102. MedicationRequest.recorder.display
Definição | Plain text narrative that identifies the resource in addition to the resource reference.
Curto | Text alternative for the resource
Comentários | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Controlo | 0..01
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
104. MedicationRequest.reasonCode
Definição | The reason or the indication for ordering or not ordering the medication.
Curto | Reason or indication for ordering or not ordering the medication
Comentários | This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference.
Controlo | 0..0*
Vínculo | Para exemplos de códigos, ver Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code|4.0.1 (example to `http://hl7.org/fhir/ValueSet/condition-code|4.0.1` ) A coded concept indicating why the medication was ordered.
Tipo | CodeableConcept
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
106. MedicationRequest.reasonReference
Definição | Condition or observation that supports why the medication was ordered.
Curto | Condition or observation that supports why the prescription is being written
Comentários | This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode.
Controlo | 10..*
Tipo | Reference(Justificativa da Dispensação do Medicamento, Condition, Observation)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
108. MedicationRequest.instantiatesCanonical
Definição | The URL pointing to a protocol, guideline, orderset, or other definition that is adhered to in whole or in part by this MedicationRequest.
Curto | Instantiates FHIR protocol or definition
Controlo | 0..0*
Tipo | canonical
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
110. MedicationRequest.instantiatesUri
Definição | The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this MedicationRequest.
Curto | Instantiates external protocol or definition
Controlo | 0..0*
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
112. MedicationRequest.basedOn
Definição | A plan or request that is fulfilled in whole or in part by this medication request.
Curto | What request fulfills
Controlo | 0..0*
Tipo | Reference(CarePlan, MedicationRequest, ServiceRequest, ImmunizationRecommendation)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
114. MedicationRequest.groupIdentifier
Definição | A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition or prescription.
Curto | Composite request this is part of
Controlo | 0..01
Tipo | Identifier
É modificador | false
Resumo | true
Requisitos | Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
116. MedicationRequest.courseOfTherapyType
Definição | The description of the overall patte3rn of the administration of the medication to the patient.
Curto | Overall pattern of medication administration
Comentários | This attribute should not be confused with the protocol of the medication.
Controlo | 0..01
Vínculo | Para exemplos de códigos, ver medicationRequest Course of Therapy Codes http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy|4.0.1 (example to `http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy|4.0.1` ) Identifies the overall pattern of medication administratio.
Tipo | CodeableConcept
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
118. MedicationRequest.insurance
Definição | Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service.
Curto | Associated insurance coverage
Controlo | 0..0*
Tipo | Reference(Coverage, ClaimResponse)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
120. MedicationRequest.note
Definição | Definição da descrição do uso do medicamento e prescrição não estruturada. Extra information about the prescription that could not be conveyed by the other attributes.
Curto | Notas não estruturadasInformation about the prescription
Controlo | 0..1*
Tipo | Annotation
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
122. MedicationRequest.dosageInstruction
Definição | Indicates how the medication is to be used by the patient.
Curto | How the medication should be taken
Comentários | There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed.
Controlo | 0..1*
Tipo | Dosage
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
124. MedicationRequest.dosageInstruction.modifierExtension
Definição | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Curto | Extensions that cannot be ignored even if unrecognized
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Resumo | true
Requisitos | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Nomes alternativos | extensions, user content, modifiers
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
126. MedicationRequest.dosageInstruction.sequence
Definição | Indicates the order in which the dosage instructions should be applied or interpreted.
Curto | The order of the dosage instructions
Controlo | 0..01
Tipo | integer
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
128. MedicationRequest.dosageInstruction.text
Definição | Descrição da prescrição e/ou posologia de medicamento de forma livre, em texto. O profissional prescritor deverá descrever todas as informações necessárias a uma prescrição e/ou posologia, entre outros elementos relevantes. Free text dosage instructions e.g. SIG.
Curto | Prescrição e/ou Posologia Não EstruturadaFree text dosage instructions e.g. SIG
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Additional information about administration or preparation of the medication should be included as text.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
130. MedicationRequest.dosageInstruction.additionalInstruction
Definição | Supplemental instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps").
Curto | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Comentários | Information about administration or preparation of the medication (e.g. "infuse as rapidly as possibly via intraperitoneal port" or "immediately following drug x") should be populated in dosage.text.
Controlo | 0..0*
Vínculo | Para exemplos de códigos, ver SNOMEDCTAdditionalDosageInstructions http://hl7.org/fhir/ValueSet/additional-instruction-codes|4.0.1 (example to `http://hl7.org/fhir/ValueSet/additional-instruction-codes|4.0.1` ) A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | Additional instruction is intended to be coded, but where no code exists, the element could include text. For example, "Swallow with plenty of water" which might or might not be coded.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
132. MedicationRequest.dosageInstruction.patientInstruction
Definição | Orientações sobre o uso do medicamento prescrito. Instructions in terms that are understood by the patient or consumer.
Curto | Orientações sobre o uso do medicamentoPatient or consumer oriented instructions
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
134. MedicationRequest.dosageInstruction.timing
Definição | Frequência de uso do medicamento When medication should be administered.
Curto | Frequência de uso do medicamentoWhen medication should be administered
Comentários | This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing.
Controlo | 0..1
Tipo | Timing
É modificador | false
Resumo | true
Requisitos | The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
136. MedicationRequest.dosageInstruction.timing.modifierExtension
Definição | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Curto | Extensions that cannot be ignored even if unrecognized
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Resumo | true
Requisitos | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Nomes alternativos | extensions, user content, modifiers
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
138. MedicationRequest.dosageInstruction.timing.event
Definição | Identifies specific times when the event occurs.
Curto | When the event occurs
Controlo | 0..0*
Tipo | dateTime
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
140. MedicationRequest.dosageInstruction.timing.repeat
Definição | A set of rules that describe when the event is scheduled.
Curto | When the event is to occur
Controlo | 10..1
Tipo | Element
É modificador | false
Resumo | true
Requisitos | Many timing schedules are determined by regular repetitions.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) tim-1: if there's a duration, there needs to be duration units (`duration.empty() or durationUnit.exists()`) tim-2: if there's a period, there needs to be period units (`period.empty() or periodUnit.exists()`) tim-4: duration SHALL be a non-negative value (`duration.exists() implies duration >= 0`) tim-5: period SHALL be a non-negative value (`period.exists() implies period >= 0`) tim-6: If there's a periodMax, there must be a period (`periodMax.empty() or period.exists()`) tim-7: If there's a durationMax, there must be a duration (`durationMax.empty() or duration.exists()`) tim-8: If there's a countMax, there must be a count (`countMax.empty() or count.exists()`) tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) (`offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))`) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (`timeOfDay.empty() or when.empty()`) tim-1: if there's a duration, there needs to be duration units (duration.empty() or durationUnit.exists()) tim-2: if there's a period, there needs to be period units (period.empty() or periodUnit.exists()) tim-4: duration SHALL be a non-negative value (duration.exists() implies duration >= 0) tim-5: period SHALL be a non-negative value (period.exists() implies period >= 0) tim-6: If there's a periodMax, there must be a period (periodMax.empty() or period.exists()) tim-7: If there's a durationMax, there must be a duration (durationMax.empty() or duration.exists()) tim-8: If there's a countMax, there must be a count (countMax.empty() or count.exists()) tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) (offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (timeOfDay.empty() or when.empty())
142. MedicationRequest.dosageInstruction.timing.repeat.extension:period
Nome da fatia | period
Definição | Descritor quantitativo da unidade de tempo entre doses.
Curto | Extensão - Intervalo entre doses
Controlo | 0..1
Tipo | Extension(BRIntervaloDoses) (Extensão complexa)
É modificador | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
144. MedicationRequest.dosageInstruction.timing.repeat.extension:when
Nome da fatia | when
Definição | Em qual momento do dia ocorre o consumo do medicamento: Manhã, tarde, noite.
Curto | Extensão - Turno do dia
Controlo | 0..1
Tipo | Extension(BRTurno) (Tipo de extensão: code)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
146. MedicationRequest.dosageInstruction.timing.repeat.extension:when.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..01
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
148. MedicationRequest.dosageInstruction.timing.repeat.extension:when.url
Definição | Source of the definition for the extension code - a logical name or a URL.
Curto | identifies the meaning of the extension
Comentários | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Controlo | 1..1
Tipo | uri
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
Valor fixo | `http://www.saude.gov.br/fhir/r4/StructureDefinition/BRTurno`
150. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]
Definição | Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule.
Curto | Length/Range of lengths, or (Start and/or end) limits
Controlo | 0..01
Tipo | Escolha de: Duration, Range, Period
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
152. MedicationRequest.dosageInstruction.timing.repeat.count
Definição | Número de doses a cada uso do medicamento (ex.: 1x, 2x, 3x 4x etc.) A total count of the desired number of repetitions across the duration of the entire timing specification. If countMax is present, this element indicates the lower bound of the allowed range of count values.
Curto | Repetições de doseNumber of times to repeat
Comentários | If you have both bounds and count, then this should be understood as within the bounds period, until count times happens.
Controlo | 10..1
Tipo | positiveInt
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Repetitions may be limited by end time or total occurrences.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
154. MedicationRequest.dosageInstruction.timing.repeat.countMax
Definição | Representa a quantidade total de doses prescritas para o medicamento: se for mais de uma, deve ser considerado como 'Dose Contínua'; do contrário, deve ser considerado como 'Dose Única'. If present, indicates that the count is a range - so to perform the action between [count] and [countMax] times.
Curto | Quantidade total de dosesMaximum number of times to repeat
Controlo | 10..1
Tipo | positiveInt
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Valor mínimo | 1
Valor máximo | 2147483647
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
156. MedicationRequest.dosageInstruction.timing.repeat.duration
Definição | How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration.
Curto | How long when it happens
Comentários | For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).
Controlo | 0..01
Tipo | decimal
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Some activities are not instantaneous and need to be maintained for a period of time.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
158. MedicationRequest.dosageInstruction.timing.repeat.durationMax
Definição | If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length.
Curto | How long when it happens (Max)
Comentários | For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).
Controlo | 0..01
Tipo | decimal
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Some activities are not instantaneous and need to be maintained for a period of time.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
160. MedicationRequest.dosageInstruction.timing.repeat.durationUnit
Definição | The units of time for the duration, in UCUM units.
Curto | s | min | h | d | wk | mo | a - unit of time (UCUM)
Controlo | 0..01
Vínculo | Os códigos DEVERÃO ser retirados de UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 (required to `http://hl7.org/fhir/ValueSet/units-of-time|4.0.1` ) A unit of time (units from UCUM).
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
162. MedicationRequest.dosageInstruction.timing.repeat.frequency
Definição | Intervalo, em horas, de cada uso do medicamento. The number of times to repeat the action within the specified period. If frequencyMax is present, this element indicates the lower bound of the allowed range of the frequency.
Curto | Intervalo de doseEvent occurs frequency times per period
Controlo | 0..1
Tipo | positiveInt
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Significado em caso de falta | If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
164. MedicationRequest.dosageInstruction.timing.repeat.frequencyMax
Definição | If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range.
Curto | Event occurs up to frequencyMax times per period
Controlo | 0..01
Tipo | positiveInt
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
166. MedicationRequest.dosageInstruction.timing.repeat.period
Definição | Descritor quantitativo da unidade de tempo entre doses. Indicates the duration of time over which repetitions are to occur; e.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period. If periodMax is present, this element indicates the lower bound of the allowed range of the period length.
Curto | Intervalo entre dosesEvent occurs frequency times per period
Controlo | 0..01
Tipo | decimal
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
168. MedicationRequest.dosageInstruction.timing.repeat.periodMax
Definição | If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days.
Curto | Upper limit of period (3-4 hours)
Controlo | 0..01
Tipo | decimal
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
170. MedicationRequest.dosageInstruction.timing.repeat.periodUnit
Definição | Unidade de tempo entre doses (ex.: hora, dia, semana, mês etc.), em unidades UCUM. The units of time for the period in UCUM units.
Curto | Unidade de tempo entre dosess | min | h | d | wk | mo | a - unit of time (UCUM)
Controlo | 0..01
Vínculo | Os códigos DEVERÃO ser retirados de UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|4.0.1 (required to `http://hl7.org/fhir/ValueSet/units-of-time|4.0.1` ) A unit of time (units from UCUM).
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
172. MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek
Definição | If one or more days of week is provided, then the action happens only on the specified day(s).
Curto | mon | tue | wed | thu | fri | sat | sun
Comentários | If no days are specified, the action is assumed to happen every day as otherwise specified. The elements frequency and period cannot be used as well as dayOfWeek.
Controlo | 0..0*
Vínculo | Os códigos DEVERÃO ser retirados de DaysOfWeek http://hl7.org/fhir/ValueSet/days-of-week|4.0.1 (required to `http://hl7.org/fhir/ValueSet/days-of-week|4.0.1` )
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
174. MedicationRequest.dosageInstruction.timing.repeat.timeOfDay
Definição | Specified time of day for action to take place.
Curto | Time of day for action
Comentários | When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. The elements when, frequency and period cannot be used as well as timeOfDay.
Controlo | 0..0*
Tipo | time
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
176. MedicationRequest.dosageInstruction.timing.repeat.when
Definição | Em qual momento do dia ocorre o consumo do medicamento: Manhã, tarde, noite. An approximate time period during the day, potentially linked to an event of daily living that indicates when the action should occur.
Curto | Turno do diaCode for time period of occurrence
Comentários | When more than one event is listed, the event is tied to the union of the specified events.
Controlo | 0..0*
Vínculo | Os códigos DEVERÃO ser retirados de EventTiming http://hl7.org/fhir/ValueSet/event-timing|4.0.1 (required to `http://hl7.org/fhir/ValueSet/event-timing|4.0.1` ) Real world event relating to the schedule.
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Timings are frequently determined by occurrences such as waking, eating and sleep.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
178. MedicationRequest.dosageInstruction.timing.repeat.offset
Definição | The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event.
Curto | Minutes from event (before or after)
Controlo | 0..01
Tipo | unsignedInt
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
180. MedicationRequest.dosageInstruction.timing.code
Definição | A code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code).
Curto | BID | TID | QID | AM | PM | QD | QOD | +
Comentários | BID etc. are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or a structured representation should be used (in this case, specifying the two event times).
Controlo | 0..01
Vínculo | Os códigos DEVERÃO ser retirados de TimingAbbreviation http://hl7.org/fhir/ValueSet/timing-abbreviation|4.0.1 (preferred to `http://hl7.org/fhir/ValueSet/timing-abbreviation|4.0.1` ) Code for a known / defined timing pattern.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
182. MedicationRequest.dosageInstruction.asNeeded[x]
Definição | Representa a necessidade do uso contínuo do medicamento. Indicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept).
Curto | Uso se necessárioTake "as needed" (for x)
Comentários | Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed".
Controlo | 0..1
Tipo | boolean, CodeableConcept
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
184. MedicationRequest.dosageInstruction.site
Definição | Body site to administer to.
Curto | Body site to administer to
Comentários | If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both.
Controlo | 0..01
Vínculo | Para exemplos de códigos, ver SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes|4.0.1 (example to `http://hl7.org/fhir/ValueSet/approach-site-codes|4.0.1` ) A coded concept describing the site location the medicine enters into or onto the body.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | A coded specification of the anatomic site where the medication first enters the body.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
186. MedicationRequest.dosageInstruction.route
Definição | Via de Adiministração do medicamento prescrito. How drug should enter body.
Curto | Via de AdministraçãoHow drug should enter body
Controlo | 10..1
Vínculo | Os códigos DEVERÃO ser retirados de Para exemplos de códigos, ver Via de Administração do Imunobiológico http://hl7.org/fhir/ValueSet/route-codes|4.0.1 (required to `http://www.saude.gov.br/fhir/r4/ValueSet/BRViaAdministracao-1.0` ) Via de Administração A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
188. MedicationRequest.dosageInstruction.method
Definição | Technique for administering medication.
Curto | Technique for administering medication
Comentários | Terminologies used often pre-coordinate this term with the route and or form of administration.
Controlo | 0..01
Vínculo | Para exemplos de códigos, ver SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes|4.0.1 (example to `http://hl7.org/fhir/ValueSet/administration-method-codes|4.0.1` ) A coded concept describing the technique by which the medicine is administered.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
190. MedicationRequest.dosageInstruction.doseAndRate
Definição | The amount of medication administered.
Curto | Amount of medication administered
Controlo | 0..1*
Tipo | Element
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
192. MedicationRequest.dosageInstruction.doseAndRate.type
Definição | Unidade de consumo do medicamento prescrito (ex.: comprimido, cápsula, aplicação, mL, gota, copo dosador, infusão etc.). The kind of dose or rate specified, for example, ordered or calculated.
Curto | Unidade de consumo da doseThe kind of dose or rate specified
Controlo | 10..1
Vínculo | Os códigos DEVERÃO ser retirados de Para exemplos de códigos, ver Unidade de Consumo http://hl7.org/fhir/ValueSet/dose-rate-type|4.0.1 (required to `http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeConsumo` ) Unidade de consumo da dose The kind of dose or rate specified.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | If the type is not populated, assume to be "ordered".
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
194. MedicationRequest.dosageInstruction.doseAndRate.type.coding
Definição | A reference to a code defined by a terminology system.
Curto | Code defined by a terminology system
Comentários | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Controlo | 0..*
Vínculo | Os códigos DEVERÃO ser retirados de Para códigos, ver Unidade de Consumo (required to `http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeConsumo` ) Determina a unidade de consumo
Tipo | Coding
É modificador | false
Resumo | true
Requisitos | Allows for alternative encodings within a code system, and translations to other code systems.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
196. MedicationRequest.dosageInstruction.doseAndRate.type.coding.version
Definição | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Curto | Version of the system - if relevant
Comentários | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Nota | Este é um ID de versão comercial, não um ID de versão de recurso (ver discussão)
Controlo | 0..01
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
198. MedicationRequest.dosageInstruction.doseAndRate.type.coding.display
Definição | A representation of the meaning of the code in the system, following the rules of the system.
Curto | Representation defined by the system
Controlo | 0..01
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
200. MedicationRequest.dosageInstruction.doseAndRate.type.coding.userSelected
Definição | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Curto | If this coding was chosen directly by the user
Comentários | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Controlo | 0..01
Tipo | boolean
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
202. MedicationRequest.dosageInstruction.doseAndRate.type.text
Definição | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Curto | Plain text representation of the concept
Comentários | Very often the text is the same as a displayName of one of the codings.
Controlo | 0..01
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
204. MedicationRequest.dosageInstruction.doseAndRate.dose[x]
Definição | Quantidade da unidade de consumo do medicamento prescrito a cada dose. Amount of medication per dose.
Curto | Quantidade da DoseAmount of medication per dose
Comentários | Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.
Controlo | 10..1
Tipo | Quantity(SimpleQuantity, SimpleQuantity), Range
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
É modificador | false
Resumo | true
Requisitos | The amount of therapeutic or other substance given at one administration event.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
206. MedicationRequest.dosageInstruction.doseAndRate.dose[x].comparator
Definição | Not allowed to be used in this context How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.
Curto | < | <= | >= | > - how to understand the value
Controlo | 0..01
Vínculo | Os códigos DEVERÃO ser retirados de QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 (required to `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` ) How the Quantity should be understood and represented.
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Significado em caso de falta | If there is no comparator, then there is no modification of the value
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
208. MedicationRequest.dosageInstruction.doseAndRate.dose[x].unit
Definição | A human-readable form of the unit.
Curto | Unit representation
Controlo | 0..01
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
210. MedicationRequest.dosageInstruction.doseAndRate.dose[x].system
Definição | The identification of the system that provides the coded form of the unit.
Curto | System that defines coded unit form
Controlo | 0..01 Este elemento é afetado pelas seguintes invariantes: qty-3
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to know the system that defines the coded form of the unit.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
212. MedicationRequest.dosageInstruction.doseAndRate.dose[x].code
Definição | A computer processable form of the unit in some unit representation system.
Curto | Coded form of the unit
Comentários | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Controlo | 0..01
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
214. MedicationRequest.dosageInstruction.doseAndRate.rate[x]
Definição | Amount of medication per unit of time.
Curto | Amount of medication per unit of time
Comentários | It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour.
Controlo | 0..01
Tipo | Quantity(SimpleQuantity, SimpleQuantity), Ratio, Range
É modificador | false
Resumo | true
Requisitos | Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
216. MedicationRequest.dosageInstruction.maxDosePerPeriod
Definição | Upper limit on medication per unit of time.
Curto | Upper limit on medication per unit of time
Comentários | This is intended for use as an adjunct to the dosage when there is an upper cap. For example "2 tablets every 4 hours to a maximum of 8/day".
Controlo | 0..01
Tipo | Ratio
É modificador | false
Resumo | true
Requisitos | The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
218. MedicationRequest.dosageInstruction.maxDosePerAdministration
Definição | Quantidade máxima da dose a ser dispensada por atendimento. Upper limit on medication per administration.
Curto | Quantidade a ser dispensada por atendimentoUpper limit on medication per administration
Comentários | This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg.
Controlo | 10..1
Tipo | Quantity(SimpleQuantity)
É modificador | false
Resumo | true
Requisitos | The maximum total quantity of a therapeutic substance that may be administered to a subject per administration.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
220. MedicationRequest.dosageInstruction.maxDosePerAdministration.comparator
Definição | Not allowed to be used in this context How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value.
Curto | < | <= | >= | > - how to understand the value
Controlo | 0..01
Vínculo | Os códigos DEVERÃO ser retirados de QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 (required to `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` ) How the Quantity should be understood and represented.
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Significado em caso de falta | If there is no comparator, then there is no modification of the value
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
222. MedicationRequest.dosageInstruction.maxDosePerAdministration.unit
Definição | A human-readable form of the unit.
Curto | Unit representation
Controlo | 0..01
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
224. MedicationRequest.dosageInstruction.maxDosePerAdministration.system
Definição | The identification of the system that provides the coded form of the unit.
Curto | System that defines coded unit form
Controlo | 0..01 Este elemento é afetado pelas seguintes invariantes: qty-3
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to know the system that defines the coded form of the unit.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
226. MedicationRequest.dosageInstruction.maxDosePerAdministration.code
Definição | A computer processable form of the unit in some unit representation system.
Curto | Coded form of the unit
Comentários | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Controlo | 0..01
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
228. MedicationRequest.dosageInstruction.maxDosePerLifetime
Definição | Upper limit on medication per lifetime of the patient.
Curto | Upper limit on medication per lifetime of the patient
Controlo | 0..01
Tipo | Quantity(SimpleQuantity)
É modificador | false
Resumo | true
Requisitos | The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject.
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
230. MedicationRequest.substitution
Definição | Indicates whether or not substitution can or should be part of the dispense. In some cases, substitution must happen, in other cases substitution must not happen. This block explains the prescriber's intent. If nothing is specified substitution may be done.
Curto | Any restrictions on medication substitution
Controlo | 0..01
Tipo | BackboneElement
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
234. MedicationRequest.priorPrescription
Definição | A link to a resource representing an earlier order related order or prescription.
Curto | An order/prescription that is being replaced
Controlo | 0..01
Tipo | Reference(MedicationRequest)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
236. MedicationRequest.detectedIssue
Definição | Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc.
Curto | Clinical Issue with action
Comentários | This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue.
Controlo | 0..0*
Tipo | Reference(DetectedIssue)
É modificador | false
Resumo | false
Nomes alternativos | Contraindication, Drug Utilization Review (DUR), Alert
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
238. MedicationRequest.eventHistory
Definição | Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource.
Curto | A list of events of interest in the lifecycle
Comentários | This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).
Controlo | 0..0*
Tipo | Reference(Provenance)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. MedicationRequest
Definição | An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.
Curto | Ordering of medication for patient or group
Controlo | 0..*
É modificador | false
Resumo | false
Nomes alternativos | Prescription, Order
Invariantes | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (`contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`) dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (`contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`) dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`)
2. MedicationRequest.id
Definição | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Curto | Logical id of this artifact
Comentários | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Controlo | 0..1
Tipo | id
É modificador | false
Resumo | true
4. MedicationRequest.meta
Definição | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Curto | Metadata about the resource
Controlo | 0..1
Tipo | Meta
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. MedicationRequest.implicitRules
Definição | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Curto | A set of rules under which this content was created
Comentários | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Controlo | 0..0
Tipo | uri
É modificador | true porque This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. MedicationRequest.language
Definição | The base language in which the resource is written.
Curto | Language of the resource content
Comentários | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Controlo | 0..0
Vínculo | Os códigos DEVERÃO ser retirados de CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Vínculos adicionais | Objetivo
AllLanguages | Vínculo máximo
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. MedicationRequest.text
Definição | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Curto | Text summary of the resource, for human interpretation
Comentários | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Controlo | 0..1
Tipo | Narrative
É modificador | false
Resumo | false
Nomes alternativos | narrative, html, xhtml, display
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. MedicationRequest.contained
Definição | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Curto | Contained, inline Resources
Comentários | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Controlo | 0..0
Tipo | Resource
É modificador | false
Resumo | false
Nomes alternativos | inline resources, anonymous resources, contained resources
14. MedicationRequest.extension
Definição | May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
16. MedicationRequest.modifierExtension
Definição | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Curto | Extensions that cannot be ignored
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Resumo | false
Requisitos | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
18. MedicationRequest.identifier
Definição | Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.
Curto | External ids for this request
Comentários | This is a business identifier, not a resource identifier.
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 0..0
Tipo | Identifier
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. MedicationRequest.status
Definição | A code specifying the current state of the order. Generally, this will be active or completed state.
Curto | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Comentários | This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
Controlo | 1..1
Vínculo | Os códigos DEVERÃO ser retirados de medicationrequest Status (required to `http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1` ) A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
Tipo | code
É modificador | true porque This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. MedicationRequest.statusReason
Definição | Captures the reason for the current state of the MedicationRequest.
Curto | Reason for current status
Comentários | This is generally only used for "exception" statuses such as "suspended" or "cancelled". The reason why the MedicationRequest was created at all is captured in reasonCode, not here.
Controlo | 0..0
Vínculo | Para exemplos de códigos, ver medicationRequest Status Reason Codes (example to `http://hl7.org/fhir/ValueSet/medicationrequest-status-reason|4.0.1` ) Identifies the reasons for a given status.
Tipo | CodeableConcept
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
24. MedicationRequest.intent
Definição | Whether the request is a proposal, plan, or an original order.
Curto | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Comentários | It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only. An instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record. This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.
Controlo | 1..1
Vínculo | Os códigos DEVERÃO ser retirados de medicationRequest Intent (required to `http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1` ) The kind of medication order.
Tipo | code
É modificador | true porque This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
26. MedicationRequest.category
Definição | Indicates the type of medication request (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).
Curto | Type of medication usage
Comentários | The category can be used to include where the medication is expected to be consumed or other types of requests.
Controlo | 0..0
Vínculo | Para exemplos de códigos, ver medicationRequest Category Codes (example to `http://hl7.org/fhir/ValueSet/medicationrequest-category|4.0.1` ) A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
Tipo | CodeableConcept
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
28. MedicationRequest.priority
Definição | Indicates how quickly the Medication Request should be addressed with respect to other requests.
Curto | routine | urgent | asap | stat
Controlo | 0..0
Vínculo | Os códigos DEVERÃO ser retirados de RequestPriority (required to `http://hl7.org/fhir/ValueSet/request-priority|4.0.1` ) Identifies the level of importance to be assigned to actioning the request.
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
30. MedicationRequest.doNotPerform
Definição | If true indicates that the provider is asking for the medication request not to occur.
Curto | True if request is prohibiting action
Comentários | If do not perform is not specified, the request is a positive request e.g. "do perform".
Controlo | 0..0
Tipo | boolean
É modificador | true porque This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc)
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
32. MedicationRequest.reported[x]
Definição | Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth record. It may also indicate the source of the report.
Curto | Reported rather than primary record
Controlo | 0..0
Tipo | Escolha de: boolean, Reference(Patient, Practitioner, PractitionerRole, RelatedPerson, Organization)
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
34. MedicationRequest.medication[x]
Definição | Identificação e informações sobre o medicamento prescrito.
Curto | Medicamento
Comentários | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.
Controlo | 1..1
Vínculo | Para exemplos de códigos, ver SNOMEDCTMedicationCodes (example to `http://hl7.org/fhir/ValueSet/medication-codes` ) Justificativa da ausência de dados estruturados sobre o medicamento.
Tipo | Escolha de: CodeableConcept, Reference(Medicamento para Gestão de Estoque)
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
36. MedicationRequest.subject
Definição | Quem ou o quê a composição se refere. Pode ser um indivíduo, dispositivo, grupos (de indivíduos, dispositivos etc.).
Curto | Sujeito da Composição
Comentários | The subject on a medication request is mandatory. For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified.
Controlo | 1..1
Tipo | Reference(Indivíduo)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
38. MedicationRequest.subject.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
40. MedicationRequest.subject.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `MedicationRequest.subject.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
42. MedicationRequest.subject.reference
Definição | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Curto | Literal reference, Relative, internal or absolute URL
Comentários | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Controlo | 0..0 Este elemento é afetado pelas seguintes invariantes: ref-1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
44. MedicationRequest.subject.type
Definição | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
Curto | Type the reference refers to (e.g. "Patient")
Comentários | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Controlo | 0..0
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceType (extensible to `http://hl7.org/fhir/ValueSet/resource-types|4.0.1` ) Aa resource (or, for logical models, the URI of the logical model).
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. MedicationRequest.subject.identifier
Definição | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Curto | Logical reference, when literal reference is not known
Comentários | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 1..1
Tipo | Identifier
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
48. MedicationRequest.subject.identifier.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
50. MedicationRequest.subject.identifier.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `MedicationRequest.subject.identifier.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
52. MedicationRequest.subject.identifier.use
Definição | The purpose of this identifier.
Curto | usual | official | temp | secondary | old (If known)
Comentários | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Controlo | 0..0
Vínculo | Os códigos DEVERÃO ser retirados de IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. MedicationRequest.subject.identifier.type
Definição | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Curto | Description of identifier
Comentários | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Controlo | 0..0
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de Identifier Type Codes (extensible to `http://hl7.org/fhir/ValueSet/identifier-type|4.0.1` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | Allows users to make use of identifiers when the identifier system is not known.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
56. MedicationRequest.subject.identifier.system
Definição | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Curto | The namespace for the identifier value
Comentários | Identifier.system is always case sensitive.
Controlo | 1..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Exemplo | General: http://www.acme.com/identifiers/patient
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
58. MedicationRequest.subject.identifier.value
Definição | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Curto | The value that is unique
Comentários | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Controlo | 1..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Exemplo | General: 123456
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
60. MedicationRequest.subject.identifier.period
Definição | Time period during which identifier is/was valid for use.
Curto | Time period when id is/was valid for use
Controlo | 0..0
Tipo | Period
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
62. MedicationRequest.subject.identifier.assigner
Definição | Organization that issued/manages the identifier.
Curto | Organization that issued id (may be just text)
Comentários | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Controlo | 0..0
Tipo | Reference(Organization)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. MedicationRequest.subject.display
Definição | Plain text narrative that identifies the resource in addition to the resource reference.
Curto | Text alternative for the resource
Comentários | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Controlo | 0..0
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
66. MedicationRequest.encounter
Definição | The Encounter during which this [x] was created or to which the creation of this record is tightly associated.
Curto | Encounter created as part of encounter/admission/stay
Comentários | This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter." If there is a need to link to episodes of care they will be handled with an extension.
Controlo | 0..0
Tipo | Reference(Encounter)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. MedicationRequest.supportingInformation
Definição | Include additional information (for example, patient height and weight) that supports the ordering of the medication.
Curto | Information to support ordering of the medication
Controlo | 0..0
Tipo | Reference(Resource)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. MedicationRequest.authoredOn
Definição | Data e hora da prescrição realizada.
Curto | Data e hora da prescrição
Controlo | 1..1
Tipo | dateTime
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. MedicationRequest.requester
Definição | Identifica pelo número de inscrição no Cadastro Nacional de Estabelecimentos de Saúde o Estabelecimento de Saúde que realizou a prescrição de medicamento.
Curto | Estabelecimento de Saúde prescritor
Controlo | 0..1
Tipo | Reference(Estabelecimento de Saúde)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
74. MedicationRequest.requester.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
76. MedicationRequest.requester.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `MedicationRequest.requester.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
78. MedicationRequest.requester.reference
Definição | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Curto | Literal reference, Relative, internal or absolute URL
Comentários | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Controlo | 0..0 Este elemento é afetado pelas seguintes invariantes: ref-1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
80. MedicationRequest.requester.type
Definição | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
Curto | Type the reference refers to (e.g. "Patient")
Comentários | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Controlo | 0..0
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceType (extensible to `http://hl7.org/fhir/ValueSet/resource-types|4.0.1` ) Aa resource (or, for logical models, the URI of the logical model).
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. MedicationRequest.requester.identifier
Definição | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Curto | Logical reference, when literal reference is not known
Comentários | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 1..1
Tipo | Identifier
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
84. MedicationRequest.requester.identifier.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
86. MedicationRequest.requester.identifier.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `MedicationRequest.requester.identifier.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
88. MedicationRequest.requester.identifier.use
Definição | The purpose of this identifier.
Curto | usual | official | temp | secondary | old (If known)
Comentários | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Controlo | 0..0
Vínculo | Os códigos DEVERÃO ser retirados de IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
90. MedicationRequest.requester.identifier.type
Definição | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Curto | Description of identifier
Comentários | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Controlo | 0..0
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de Identifier Type Codes (extensible to `http://hl7.org/fhir/ValueSet/identifier-type|4.0.1` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | Allows users to make use of identifiers when the identifier system is not known.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
92. MedicationRequest.requester.identifier.system
Definição | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Curto | The namespace for the identifier value
Comentários | Identifier.system is always case sensitive.
Controlo | 1..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Exemplo | General: http://www.acme.com/identifiers/patient
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
94. MedicationRequest.requester.identifier.value
Definição | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Curto | The value that is unique
Comentários | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Controlo | 1..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Exemplo | General: 123456
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
96. MedicationRequest.requester.identifier.period
Definição | Time period during which identifier is/was valid for use.
Curto | Time period when id is/was valid for use
Controlo | 0..0
Tipo | Period
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
98. MedicationRequest.requester.identifier.assigner
Definição | Organization that issued/manages the identifier.
Curto | Organization that issued id (may be just text)
Comentários | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Controlo | 0..0
Tipo | Reference(Organization)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
100. MedicationRequest.requester.display
Definição | Plain text narrative that identifies the resource in addition to the resource reference.
Curto | Text alternative for the resource
Comentários | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Controlo | 0..0
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
102. MedicationRequest.performer
Definição | The specified desired performer of the medication treatment (e.g. the performer of the medication administration).
Curto | Intended performer of administration
Controlo | 0..0
Tipo | Reference(Practitioner, PractitionerRole, Organization, Patient, Device, RelatedPerson, CareTeam)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
104. MedicationRequest.performerType
Definição | Indicates the type of performer of the administration of the medication.
Curto | Desired kind of performer of the medication administration
Comentários | If specified without indicating a performer, this indicates that the performer must be of the specified type. If specified with a performer then it indicates the requirements of the performer if the designated performer is not available.
Controlo | 0..0
Vínculo | Para exemplos de códigos, ver ProcedurePerformerRoleCodes (example to `http://hl7.org/fhir/ValueSet/performer-role|4.0.1` ) Identifies the type of individual that is desired to administer the medication.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
106. MedicationRequest.recorder
Definição | Identificação e informações do profissional que realizou a prescrição de medicamento.
Curto | Profissional prescritor
Controlo | 1..1
Tipo | Reference(Profissional)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
108. MedicationRequest.recorder.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
110. MedicationRequest.recorder.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `MedicationRequest.recorder.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
112. MedicationRequest.recorder.reference
Definição | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Curto | Literal reference, Relative, internal or absolute URL
Comentários | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Controlo | 0..0 Este elemento é afetado pelas seguintes invariantes: ref-1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
114. MedicationRequest.recorder.type
Definição | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).
Curto | Type the reference refers to (e.g. "Patient")
Comentários | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.
Controlo | 0..0
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de ResourceType (extensible to `http://hl7.org/fhir/ValueSet/resource-types|4.0.1` ) Aa resource (or, for logical models, the URI of the logical model).
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
116. MedicationRequest.recorder.identifier
Definição | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.
Curto | Logical reference, when literal reference is not known
Comentários | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).
Nota | Trata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo | 1..1
Tipo | Identifier
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
118. MedicationRequest.recorder.identifier.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
120. MedicationRequest.recorder.identifier.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `MedicationRequest.recorder.identifier.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
122. MedicationRequest.recorder.identifier.use
Definição | The purpose of this identifier.
Curto | usual | official | temp | secondary | old (If known)
Comentários | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Controlo | 0..0
Vínculo | Os códigos DEVERÃO ser retirados de IdentifierUse (required to `http://hl7.org/fhir/ValueSet/identifier-use|4.0.1` ) Identifies the purpose for this identifier, if known .
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
124. MedicationRequest.recorder.identifier.type
Definição | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Curto | Description of identifier
Comentários | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Controlo | 0..0
Vínculo | A menos que não sejam adequados, estes códigos DEVERÃO ser retirados de Identifier Type Codes (extensible to `http://hl7.org/fhir/ValueSet/identifier-type|4.0.1` ) A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | Allows users to make use of identifiers when the identifier system is not known.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
126. MedicationRequest.recorder.identifier.system
Definição | Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Curto | The namespace for the identifier value
Comentários | Identifier.system is always case sensitive.
Controlo | 1..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Exemplo | General: http://www.acme.com/identifiers/patient
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
128. MedicationRequest.recorder.identifier.value
Definição | The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Curto | The value that is unique
Comentários | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Controlo | 1..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Exemplo | General: 123456
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
130. MedicationRequest.recorder.identifier.period
Definição | Time period during which identifier is/was valid for use.
Curto | Time period when id is/was valid for use
Controlo | 0..0
Tipo | Period
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
132. MedicationRequest.recorder.identifier.assigner
Definição | Organization that issued/manages the identifier.
Curto | Organization that issued id (may be just text)
Comentários | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
Controlo | 0..0
Tipo | Reference(Organization)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
134. MedicationRequest.recorder.display
Definição | Plain text narrative that identifies the resource in addition to the resource reference.
Curto | Text alternative for the resource
Comentários | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Controlo | 0..0
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
136. MedicationRequest.reasonCode
Definição | The reason or the indication for ordering or not ordering the medication.
Curto | Reason or indication for ordering or not ordering the medication
Comentários | This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference.
Controlo | 0..0
Vínculo | Para exemplos de códigos, ver Condition/Problem/DiagnosisCodes (example to `http://hl7.org/fhir/ValueSet/condition-code|4.0.1` ) A coded concept indicating why the medication was ordered.
Tipo | CodeableConcept
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
138. MedicationRequest.reasonReference
Definição | Condition or observation that supports why the medication was ordered.
Curto | Condition or observation that supports why the prescription is being written
Comentários | This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode.
Controlo | 1..*
Tipo | Reference(Justificativa da Dispensação do Medicamento)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
140. MedicationRequest.instantiatesCanonical
Definição | The URL pointing to a protocol, guideline, orderset, or other definition that is adhered to in whole or in part by this MedicationRequest.
Curto | Instantiates FHIR protocol or definition
Controlo | 0..0
Tipo | canonical
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
142. MedicationRequest.instantiatesUri
Definição | The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this MedicationRequest.
Curto | Instantiates external protocol or definition
Controlo | 0..0
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
144. MedicationRequest.basedOn
Definição | A plan or request that is fulfilled in whole or in part by this medication request.
Curto | What request fulfills
Controlo | 0..0
Tipo | Reference(CarePlan, MedicationRequest, ServiceRequest, ImmunizationRecommendation)
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
146. MedicationRequest.groupIdentifier
Definição | A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition or prescription.
Curto | Composite request this is part of
Controlo | 0..0
Tipo | Identifier
É modificador | false
Resumo | true
Requisitos | Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
148. MedicationRequest.courseOfTherapyType
Definição | The description of the overall patte3rn of the administration of the medication to the patient.
Curto | Overall pattern of medication administration
Comentários | This attribute should not be confused with the protocol of the medication.
Controlo | 0..0
Vínculo | Para exemplos de códigos, ver medicationRequest Course of Therapy Codes (example to `http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy|4.0.1` ) Identifies the overall pattern of medication administratio.
Tipo | CodeableConcept
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
150. MedicationRequest.insurance
Definição | Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service.
Curto | Associated insurance coverage
Controlo | 0..0
Tipo | Reference(Coverage, ClaimResponse)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
152. MedicationRequest.note
Definição | Definição da descrição do uso do medicamento e prescrição não estruturada.
Curto | Notas não estruturadas
Controlo | 0..1
Tipo | Annotation
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
154. MedicationRequest.dosageInstruction
Definição | Indicates how the medication is to be used by the patient.
Curto | How the medication should be taken
Comentários | There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed.
Controlo | 0..1
Tipo | Dosage
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
156. MedicationRequest.dosageInstruction.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
158. MedicationRequest.dosageInstruction.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `MedicationRequest.dosageInstruction.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
160. MedicationRequest.dosageInstruction.modifierExtension
Definição | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Curto | Extensions that cannot be ignored even if unrecognized
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Resumo | true
Requisitos | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Nomes alternativos | extensions, user content, modifiers
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
162. MedicationRequest.dosageInstruction.sequence
Definição | Indicates the order in which the dosage instructions should be applied or interpreted.
Curto | The order of the dosage instructions
Controlo | 0..0
Tipo | integer
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
164. MedicationRequest.dosageInstruction.text
Definição | Descrição da prescrição e/ou posologia de medicamento de forma livre, em texto. O profissional prescritor deverá descrever todas as informações necessárias a uma prescrição e/ou posologia, entre outros elementos relevantes.
Curto | Prescrição e/ou Posologia Não Estruturada
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Additional information about administration or preparation of the medication should be included as text.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
166. MedicationRequest.dosageInstruction.additionalInstruction
Definição | Supplemental instructions to the patient on how to take the medication (e.g. "with meals" or"take half to one hour before food") or warnings for the patient about the medication (e.g. "may cause drowsiness" or "avoid exposure of skin to direct sunlight or sunlamps").
Curto | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Comentários | Information about administration or preparation of the medication (e.g. "infuse as rapidly as possibly via intraperitoneal port" or "immediately following drug x") should be populated in dosage.text.
Controlo | 0..0
Vínculo | Para exemplos de códigos, ver SNOMEDCTAdditionalDosageInstructions (example to `http://hl7.org/fhir/ValueSet/additional-instruction-codes|4.0.1` ) A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | Additional instruction is intended to be coded, but where no code exists, the element could include text. For example, "Swallow with plenty of water" which might or might not be coded.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
168. MedicationRequest.dosageInstruction.patientInstruction
Definição | Orientações sobre o uso do medicamento prescrito.
Curto | Orientações sobre o uso do medicamento
Controlo | 0..1
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
170. MedicationRequest.dosageInstruction.timing
Definição | Frequência de uso do medicamento
Curto | Frequência de uso do medicamento
Comentários | This attribute might not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing.
Controlo | 0..1
Tipo | Timing
É modificador | false
Resumo | true
Requisitos | The timing schedule for giving the medication to the patient. This data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
172. MedicationRequest.dosageInstruction.timing.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
174. MedicationRequest.dosageInstruction.timing.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `MedicationRequest.dosageInstruction.timing.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
176. MedicationRequest.dosageInstruction.timing.modifierExtension
Definição | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Curto | Extensions that cannot be ignored even if unrecognized
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Resumo | true
Requisitos | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Nomes alternativos | extensions, user content, modifiers
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
178. MedicationRequest.dosageInstruction.timing.event
Definição | Identifies specific times when the event occurs.
Curto | When the event occurs
Controlo | 0..0
Tipo | dateTime
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | In a Medication Administration Record, for instance, you need to take a general specification, and turn it into a precise specification.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
180. MedicationRequest.dosageInstruction.timing.repeat
Definição | A set of rules that describe when the event is scheduled.
Curto | When the event is to occur
Controlo | 1..1
Tipo | Element
É modificador | false
Resumo | true
Requisitos | Many timing schedules are determined by regular repetitions.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) tim-1: if there's a duration, there needs to be duration units (`duration.empty() or durationUnit.exists()`) tim-2: if there's a period, there needs to be period units (`period.empty() or periodUnit.exists()`) tim-4: duration SHALL be a non-negative value (`duration.exists() implies duration >= 0`) tim-5: period SHALL be a non-negative value (`period.exists() implies period >= 0`) tim-6: If there's a periodMax, there must be a period (`periodMax.empty() or period.exists()`) tim-7: If there's a durationMax, there must be a duration (`durationMax.empty() or duration.exists()`) tim-8: If there's a countMax, there must be a count (`countMax.empty() or count.exists()`) tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) (`offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))`) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa (`timeOfDay.empty() or when.empty()`)
182. MedicationRequest.dosageInstruction.timing.repeat.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
184. MedicationRequest.dosageInstruction.timing.repeat.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `MedicationRequest.dosageInstruction.timing.repeat.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
186. MedicationRequest.dosageInstruction.timing.repeat.extension:period
Nome da fatia | period
Definição | Descritor quantitativo da unidade de tempo entre doses.
Curto | Extensão - Intervalo entre doses
Controlo | 0..1
Tipo | Extension(BRIntervaloDoses) (Extensão complexa)
É modificador | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
188. MedicationRequest.dosageInstruction.timing.repeat.extension:when
Nome da fatia | when
Definição | Em qual momento do dia ocorre o consumo do medicamento: Manhã, tarde, noite.
Curto | Extensão - Turno do dia
Controlo | 0..1
Tipo | Extension(BRTurno) (Tipo de extensão: code)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
190. MedicationRequest.dosageInstruction.timing.repeat.extension:when.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..0
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
192. MedicationRequest.dosageInstruction.timing.repeat.extension:when.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `MedicationRequest.dosageInstruction.timing.repeat.extension.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
194. MedicationRequest.dosageInstruction.timing.repeat.extension:when.url
Definição | Source of the definition for the extension code - a logical name or a URL.
Curto | identifies the meaning of the extension
Comentários | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Controlo | 1..1
Tipo | uri
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
Valor fixo | `http://www.saude.gov.br/fhir/r4/StructureDefinition/BRTurno`
196. MedicationRequest.dosageInstruction.timing.repeat.extension:when.value[x]
Definição | Em qual momento do dia ocorre o consumo do medicamento: Manhã, tarde, noite.
Curto | Turno do dia
Controlo | 0..1
Vínculo | Os códigos DEVERÃO ser retirados de Turno do dia (required to `http://www.saude.gov.br/fhir/r4/ValueSet/BRTurno` ) Define o turno do dia
Tipo | code
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
198. MedicationRequest.dosageInstruction.timing.repeat.extension:when.value[x].id
Definição | unique id for the element within a resource (for internal references)
Curto | xml:id (or equivalent in JSON)
Controlo | 0..0
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
200. MedicationRequest.dosageInstruction.timing.repeat.extension:when.value[x].extension
Definição | May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
202. MedicationRequest.dosageInstruction.timing.repeat.extension:when.value[x].value
Definição | Primitive value for code
Curto | Primitive value for code
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
204. MedicationRequest.dosageInstruction.timing.repeat.bounds[x]
Definição | Either a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule.
Curto | Length/Range of lengths, or (Start and/or end) limits
Controlo | 0..0
Tipo | Escolha de: Duration, Range, Period
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
206. MedicationRequest.dosageInstruction.timing.repeat.count
Definição | Número de doses a cada uso do medicamento (ex.: 1x, 2x, 3x 4x etc.)
Curto | Repetições de dose
Comentários | If you have both bounds and count, then this should be understood as within the bounds period, until count times happens.
Controlo | 1..1
Tipo | positiveInt
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Repetitions may be limited by end time or total occurrences.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
208. MedicationRequest.dosageInstruction.timing.repeat.countMax
Definição | Representa a quantidade total de doses prescritas para o medicamento: se for mais de uma, deve ser considerado como 'Dose Contínua'; do contrário, deve ser considerado como 'Dose Única'.
Curto | Quantidade total de doses
Controlo | 1..1
Tipo | positiveInt
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Valor mínimo | 1
Valor máximo | 2147483647
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
210. MedicationRequest.dosageInstruction.timing.repeat.duration
Definição | How long this thing happens for when it happens. If durationMax is present, this element indicates the lower bound of the allowed range of the duration.
Curto | How long when it happens
Comentários | For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).
Controlo | 0..0
Tipo | decimal
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Some activities are not instantaneous and need to be maintained for a period of time.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
212. MedicationRequest.dosageInstruction.timing.repeat.durationMax
Definição | If present, indicates that the duration is a range - so to perform the action between [duration] and [durationMax] time length.
Curto | How long when it happens (Max)
Comentários | For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).
Controlo | 0..0
Tipo | decimal
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Some activities are not instantaneous and need to be maintained for a period of time.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
214. MedicationRequest.dosageInstruction.timing.repeat.durationUnit
Definição | The units of time for the duration, in UCUM units.
Curto | s | min | h | d | wk | mo | a - unit of time (UCUM)
Controlo | 0..0
Vínculo | Os códigos DEVERÃO ser retirados de UnitsOfTime (required to `http://hl7.org/fhir/ValueSet/units-of-time|4.0.1` ) A unit of time (units from UCUM).
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
216. MedicationRequest.dosageInstruction.timing.repeat.frequency
Definição | Intervalo, em horas, de cada uso do medicamento.
Curto | Intervalo de dose
Controlo | 0..1
Tipo | positiveInt
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Significado em caso de falta | If no frequency is stated, the assumption is that the event occurs once per period, but systems SHOULD always be specific about this
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
218. MedicationRequest.dosageInstruction.timing.repeat.frequencyMax
Definição | If present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range.
Curto | Event occurs up to frequencyMax times per period
Controlo | 0..0
Tipo | positiveInt
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
220. MedicationRequest.dosageInstruction.timing.repeat.period
Definição | Descritor quantitativo da unidade de tempo entre doses.
Curto | Intervalo entre doses
Controlo | 0..0
Tipo | decimal
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
222. MedicationRequest.dosageInstruction.timing.repeat.periodMax
Definição | If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days.
Curto | Upper limit of period (3-4 hours)
Controlo | 0..0
Tipo | decimal
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
224. MedicationRequest.dosageInstruction.timing.repeat.periodUnit
Definição | Unidade de tempo entre doses (ex.: hora, dia, semana, mês etc.), em unidades UCUM.
Curto | Unidade de tempo entre doses
Controlo | 0..0
Vínculo | Os códigos DEVERÃO ser retirados de UnitsOfTime (required to `http://hl7.org/fhir/ValueSet/units-of-time|4.0.1` ) A unit of time (units from UCUM).
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
226. MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek
Definição | If one or more days of week is provided, then the action happens only on the specified day(s).
Curto | mon | tue | wed | thu | fri | sat | sun
Comentários | If no days are specified, the action is assumed to happen every day as otherwise specified. The elements frequency and period cannot be used as well as dayOfWeek.
Controlo | 0..0
Vínculo | Os códigos DEVERÃO ser retirados de DaysOfWeek (required to `http://hl7.org/fhir/ValueSet/days-of-week|4.0.1` )
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
228. MedicationRequest.dosageInstruction.timing.repeat.timeOfDay
Definição | Specified time of day for action to take place.
Curto | Time of day for action
Comentários | When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. The elements when, frequency and period cannot be used as well as timeOfDay.
Controlo | 0..0
Tipo | time
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
230. MedicationRequest.dosageInstruction.timing.repeat.when
Definição | Em qual momento do dia ocorre o consumo do medicamento: Manhã, tarde, noite.
Curto | Turno do dia
Comentários | When more than one event is listed, the event is tied to the union of the specified events.
Controlo | 0..0
Vínculo | Os códigos DEVERÃO ser retirados de EventTiming (required to `http://hl7.org/fhir/ValueSet/event-timing|4.0.1` ) Real world event relating to the schedule.
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Timings are frequently determined by occurrences such as waking, eating and sleep.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
232. MedicationRequest.dosageInstruction.timing.repeat.offset
Definição | The number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event.
Curto | Minutes from event (before or after)
Controlo | 0..0
Tipo | unsignedInt
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
234. MedicationRequest.dosageInstruction.timing.code
Definição | A code for the timing schedule (or just text in code.text). Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code).
Curto | BID | TID | QID | AM | PM | QD | QOD | +
Comentários | BID etc. are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or a structured representation should be used (in this case, specifying the two event times).
Controlo | 0..0
Vínculo | Os códigos DEVERÃO ser retirados de TimingAbbreviation (preferred to `http://hl7.org/fhir/ValueSet/timing-abbreviation|4.0.1` ) Code for a known / defined timing pattern.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
236. MedicationRequest.dosageInstruction.asNeeded[x]
Definição | Representa a necessidade do uso contínuo do medicamento.
Curto | Uso se necessário
Comentários | Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed".
Controlo | 0..1
Tipo | boolean
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
238. MedicationRequest.dosageInstruction.site
Definição | Body site to administer to.
Curto | Body site to administer to
Comentários | If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both.
Controlo | 0..0
Vínculo | Para exemplos de códigos, ver SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example to `http://hl7.org/fhir/ValueSet/approach-site-codes|4.0.1` ) A coded concept describing the site location the medicine enters into or onto the body.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | A coded specification of the anatomic site where the medication first enters the body.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
240. MedicationRequest.dosageInstruction.route
Definição | Via de Adiministração do medicamento prescrito.
Curto | Via de Administração
Controlo | 1..1
Vínculo | Os códigos DEVERÃO ser retirados de Via de Administração do Imunobiológico (required to `http://www.saude.gov.br/fhir/r4/ValueSet/BRViaAdministracao-1.0` ) Via de Administração
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
242. MedicationRequest.dosageInstruction.method
Definição | Technique for administering medication.
Curto | Technique for administering medication
Comentários | Terminologies used often pre-coordinate this term with the route and or form of administration.
Controlo | 0..0
Vínculo | Para exemplos de códigos, ver SNOMEDCTAdministrationMethodCodes (example to `http://hl7.org/fhir/ValueSet/administration-method-codes|4.0.1` ) A coded concept describing the technique by which the medicine is administered.
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
244. MedicationRequest.dosageInstruction.doseAndRate
Definição | The amount of medication administered.
Curto | Amount of medication administered
Controlo | 0..1
Tipo | Element
É modificador | false
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
246. MedicationRequest.dosageInstruction.doseAndRate.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
248. MedicationRequest.dosageInstruction.doseAndRate.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `MedicationRequest.dosageInstruction.doseAndRate.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
250. MedicationRequest.dosageInstruction.doseAndRate.type
Definição | Unidade de consumo do medicamento prescrito (ex.: comprimido, cápsula, aplicação, mL, gota, copo dosador, infusão etc.).
Curto | Unidade de consumo da dose
Controlo | 1..1
Vínculo | Os códigos DEVERÃO ser retirados de Unidade de Consumo (required to `http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeConsumo` ) Unidade de consumo da dose
Tipo | CodeableConcept
É modificador | false
Resumo | true
Requisitos | If the type is not populated, assume to be "ordered".
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
252. MedicationRequest.dosageInstruction.doseAndRate.type.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
254. MedicationRequest.dosageInstruction.doseAndRate.type.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `MedicationRequest.dosageInstruction.doseAndRate.type.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
256. MedicationRequest.dosageInstruction.doseAndRate.type.coding
Definição | A reference to a code defined by a terminology system.
Curto | Code defined by a terminology system
Comentários | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Controlo | 0..*
Vínculo | Os códigos DEVERÃO ser retirados de Unidade de Consumo (required to `http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeConsumo` ) Determina a unidade de consumo
Tipo | Coding
É modificador | false
Resumo | true
Requisitos | Allows for alternative encodings within a code system, and translations to other code systems.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
258. MedicationRequest.dosageInstruction.doseAndRate.type.coding.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
260. MedicationRequest.dosageInstruction.doseAndRate.type.coding.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `MedicationRequest.dosageInstruction.doseAndRate.type.coding.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
262. MedicationRequest.dosageInstruction.doseAndRate.type.coding.system
Definição | The identification of the code system that defines the meaning of the symbol in the code.
Curto | Identity of the terminology system
Comentários | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Controlo | 0..1
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to be unambiguous about the source of the definition of the symbol.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
264. MedicationRequest.dosageInstruction.doseAndRate.type.coding.version
Definição | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Curto | Version of the system - if relevant
Comentários | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Nota | Este é um ID de versão comercial, não um ID de versão de recurso (ver discussão)
Controlo | 0..0
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
266. MedicationRequest.dosageInstruction.doseAndRate.type.coding.code
Definição | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Curto | Symbol in syntax defined by the system
Controlo | 0..1
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to refer to a particular code in the system.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
268. MedicationRequest.dosageInstruction.doseAndRate.type.coding.display
Definição | A representation of the meaning of the code in the system, following the rules of the system.
Curto | Representation defined by the system
Controlo | 0..0
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
270. MedicationRequest.dosageInstruction.doseAndRate.type.coding.userSelected
Definição | Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Curto | If this coding was chosen directly by the user
Comentários | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Controlo | 0..0
Tipo | boolean
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
272. MedicationRequest.dosageInstruction.doseAndRate.type.text
Definição | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Curto | Plain text representation of the concept
Comentários | Very often the text is the same as a displayName of one of the codings.
Controlo | 0..0
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
274. MedicationRequest.dosageInstruction.doseAndRate.dose[x]
Definição | Quantidade da unidade de consumo do medicamento prescrito a cada dose.
Curto | Quantidade da Dose
Comentários | Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.
Controlo | 1..1
Tipo | Quantity(SimpleQuantity)
[x] Nota | VerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
É modificador | false
Resumo | true
Requisitos | The amount of therapeutic or other substance given at one administration event.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
276. MedicationRequest.dosageInstruction.doseAndRate.dose[x].id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
278. MedicationRequest.dosageInstruction.doseAndRate.dose[x].extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `MedicationRequest.dosageInstruction.doseAndRate.dose[x].extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
280. MedicationRequest.dosageInstruction.doseAndRate.dose[x].value
Definição | The value of the measured amount. The value includes an implicit precision in the presentation of the value.
Curto | Numerical value (with implicit precision)
Comentários | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Controlo | 0..1
Tipo | decimal
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Precision is handled implicitly in almost all cases of measurement.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
282. MedicationRequest.dosageInstruction.doseAndRate.dose[x].comparator
Definição | Not allowed to be used in this context
Curto | < | <= | >= | > - how to understand the value
Controlo | 0..0
Vínculo | Os códigos DEVERÃO ser retirados de QuantityComparator (required to `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` ) How the Quantity should be understood and represented.
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Significado em caso de falta | If there is no comparator, then there is no modification of the value
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
284. MedicationRequest.dosageInstruction.doseAndRate.dose[x].unit
Definição | A human-readable form of the unit.
Curto | Unit representation
Controlo | 0..0
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
286. MedicationRequest.dosageInstruction.doseAndRate.dose[x].system
Definição | The identification of the system that provides the coded form of the unit.
Curto | System that defines coded unit form
Controlo | 0..0 Este elemento é afetado pelas seguintes invariantes: qty-3
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to know the system that defines the coded form of the unit.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
288. MedicationRequest.dosageInstruction.doseAndRate.dose[x].code
Definição | A computer processable form of the unit in some unit representation system.
Curto | Coded form of the unit
Comentários | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Controlo | 0..0
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
290. MedicationRequest.dosageInstruction.doseAndRate.rate[x]
Definição | Amount of medication per unit of time.
Curto | Amount of medication per unit of time
Comentários | It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate. It is possible to specify a rate over time (for example, 100 ml/hour) using either the rateRatio and rateQuantity. The rateQuantity approach requires systems to have the capability to parse UCUM grammer where ml/hour is included rather than a specific ratio where the time is specified as the denominator. Where a rate such as 500ml over 2 hours is specified, the use of rateRatio may be more semantically correct than specifying using a rateQuantity of 250 mg/hour.
Controlo | 0..0
Tipo | Quantity(SimpleQuantity)
É modificador | false
Resumo | true
Requisitos | Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
292. MedicationRequest.dosageInstruction.maxDosePerPeriod
Definição | Upper limit on medication per unit of time.
Curto | Upper limit on medication per unit of time
Comentários | This is intended for use as an adjunct to the dosage when there is an upper cap. For example "2 tablets every 4 hours to a maximum of 8/day".
Controlo | 0..0
Tipo | Ratio
É modificador | false
Resumo | true
Requisitos | The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
294. MedicationRequest.dosageInstruction.maxDosePerAdministration
Definição | Quantidade máxima da dose a ser dispensada por atendimento.
Curto | Quantidade a ser dispensada por atendimento
Comentários | This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg.
Controlo | 1..1
Tipo | Quantity(SimpleQuantity)
É modificador | false
Resumo | true
Requisitos | The maximum total quantity of a therapeutic substance that may be administered to a subject per administration.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
296. MedicationRequest.dosageInstruction.maxDosePerAdministration.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
298. MedicationRequest.dosageInstruction.maxDosePerAdministration.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `MedicationRequest.dosageInstruction.maxDosePerAdministration.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
300. MedicationRequest.dosageInstruction.maxDosePerAdministration.value
Definição | The value of the measured amount. The value includes an implicit precision in the presentation of the value.
Curto | Numerical value (with implicit precision)
Comentários | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Controlo | 0..1
Tipo | decimal
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Precision is handled implicitly in almost all cases of measurement.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
302. MedicationRequest.dosageInstruction.maxDosePerAdministration.comparator
Definição | Not allowed to be used in this context
Curto | < | <= | >= | > - how to understand the value
Controlo | 0..0
Vínculo | Os códigos DEVERÃO ser retirados de QuantityComparator (required to `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` ) How the Quantity should be understood and represented.
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Significado em caso de falta | If there is no comparator, then there is no modification of the value
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
304. MedicationRequest.dosageInstruction.maxDosePerAdministration.unit
Definição | A human-readable form of the unit.
Curto | Unit representation
Controlo | 0..0
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
306. MedicationRequest.dosageInstruction.maxDosePerAdministration.system
Definição | The identification of the system that provides the coded form of the unit.
Curto | System that defines coded unit form
Controlo | 0..0 Este elemento é afetado pelas seguintes invariantes: qty-3
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to know the system that defines the coded form of the unit.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
308. MedicationRequest.dosageInstruction.maxDosePerAdministration.code
Definição | A computer processable form of the unit in some unit representation system.
Curto | Coded form of the unit
Comentários | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Controlo | 0..0
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
310. MedicationRequest.dosageInstruction.maxDosePerLifetime
Definição | Upper limit on medication per lifetime of the patient.
Curto | Upper limit on medication per lifetime of the patient
Controlo | 0..0
Tipo | Quantity(SimpleQuantity)
É modificador | false
Resumo | true
Requisitos | The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
312. MedicationRequest.dispenseRequest
Definição | Indicates the specific details for the dispense or medication supply part of a medication request (also known as a Medication Prescription or Medication Order). Note that this information is not always sent with the order. There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department.
Curto | Medication supply authorization
Controlo | 0..1
Tipo | BackboneElement
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
314. MedicationRequest.dispenseRequest.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
316. MedicationRequest.dispenseRequest.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
318. MedicationRequest.dispenseRequest.modifierExtension
Definição | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Curto | Extensions that cannot be ignored even if unrecognized
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | true porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Resumo | true
Requisitos | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Nomes alternativos | extensions, user content, modifiers
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
320. MedicationRequest.dispenseRequest.initialFill
Definição | Indicates the quantity or duration for the first dispense of the medication.
Curto | First fill details
Comentários | If populating this element, either the quantity or the duration must be included.
Controlo | 0..0
Tipo | BackboneElement
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
327. MedicationRequest.dispenseRequest.dispenseInterval
Definição | Intervalo, em horas, de cada uso do medicamento.
Curto | Intervalo em horas de cada dose do medicamento
Controlo | 0..0
Tipo | Duration
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
329. MedicationRequest.dispenseRequest.validityPeriod
Definição | Representa a duração do uso do medicamento prescrito.
Curto | Duração de uso do medicamento
Comentários | It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations.
Controlo | 1..1
Tipo | Period
É modificador | false
Resumo | false
Requisitos | Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
331. MedicationRequest.dispenseRequest.numberOfRepeatsAllowed
Definição | An integer indicating the number of times, in addition to the original dispense, (aka refills or repeats) that the patient can receive the prescribed medication. Usage Notes: This integer does not include the original order dispense. This means that if an order indicates dispense 30 tablets plus "3 repeats", then the order can be dispensed a total of 4 times and the patient can receive a total of 120 tablets. A prescriber may explicitly say that zero refills are permitted after the initial dispense.
Curto | Number of refills authorized
Comentários | If displaying "number of authorized fills", add 1 to this number.
Controlo | 0..0
Tipo | unsignedInt
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
333. MedicationRequest.dispenseRequest.quantity
Definição | The amount that is to be dispensed for one fill.
Curto | Total do tratamento
Controlo | 0..1
Tipo | Quantity(SimpleQuantity)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
335. MedicationRequest.dispenseRequest.quantity.id
Definição | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Curto | Unique id for inter-element referencing
Controlo | 0..1
Tipo | string
É modificador | false
Formato XML | No formato XML, esta propriedade é representada como um atributo.
Resumo | false
337. MedicationRequest.dispenseRequest.quantity.extension
Definição | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Curto | Additional content defined by implementations
Comentários | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Controlo | 0..*
Tipo | Extension
É modificador | false
Resumo | false
Nomes alternativos | extensions, user content
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Este elemento introduz um conjunto de fatias em `MedicationRequest.dispenseRequest.quantity.extension`. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores: value @ url
339. MedicationRequest.dispenseRequest.quantity.value
Definição | The value of the measured amount. The value includes an implicit precision in the presentation of the value.
Curto | Numerical value (with implicit precision)
Comentários | The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
Controlo | 1..1
Tipo | decimal
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Precision is handled implicitly in almost all cases of measurement.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
341. MedicationRequest.dispenseRequest.quantity.comparator
Definição | Not allowed to be used in this context
Curto | < | <= | >= | > - how to understand the value
Controlo | 0..0
Vínculo | Os códigos DEVERÃO ser retirados de QuantityComparator (required to `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` ) How the Quantity should be understood and represented.
Tipo | code
É modificador | true porque This is labeled as "Is Modifier" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology.
Significado em caso de falta | If there is no comparator, then there is no modification of the value
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
343. MedicationRequest.dispenseRequest.quantity.unit
Definição | A human-readable form of the unit.
Curto | Unit representation
Controlo | 0..0
Tipo | string
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
345. MedicationRequest.dispenseRequest.quantity.system
Definição | The identification of the system that provides the coded form of the unit.
Curto | System that defines coded unit form
Controlo | 0..0 Este elemento é afetado pelas seguintes invariantes: qty-3
Tipo | uri
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need to know the system that defines the coded form of the unit.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
347. MedicationRequest.dispenseRequest.quantity.code
Definição | A computer processable form of the unit in some unit representation system.
Curto | Coded form of the unit
Comentários | The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
Controlo | 0..0
Tipo | code
É modificador | false
Valor primitivo | Este elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumo | true
Requisitos | Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest.
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
349. MedicationRequest.dispenseRequest.expectedSupplyDuration
Definição | Identifies the period time over which the supplied product is expected to be used, or the length of time the dispense is expected to last.
Curto | Number of days supply per dispense
Comentários | In some situations, this attribute may be used instead of quantity to identify the amount supplied by how long it is expected to last, rather than the physical quantity issued, e.g. 90 days supply of medication (based on an ordered dosage). When possible, it is always better to specify quantity, as this tends to be more precise. expectedSupplyDuration will always be an estimate that can be influenced by external factors.
Controlo | 0..0
Tipo | Duration
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
351. MedicationRequest.dispenseRequest.performer
Definição | Indicates the intended dispensing Organization specified by the prescriber.
Curto | Intended dispenser
Controlo | 0..0
Tipo | Reference(Organization)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
353. MedicationRequest.substitution
Definição | Indicates whether or not substitution can or should be part of the dispense. In some cases, substitution must happen, in other cases substitution must not happen. This block explains the prescriber's intent. If nothing is specified substitution may be done.
Curto | Any restrictions on medication substitution
Controlo | 0..0
Tipo | BackboneElement
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
360. MedicationRequest.priorPrescription
Definição | A link to a resource representing an earlier order related order or prescription.
Curto | An order/prescription that is being replaced
Controlo | 0..0
Tipo | Reference(MedicationRequest)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
362. MedicationRequest.detectedIssue
Definição | Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc.
Curto | Clinical Issue with action
Comentários | This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue.
Controlo | 0..0
Tipo | Reference(DetectedIssue)
É modificador | false
Resumo | false
Nomes alternativos | Contraindication, Drug Utilization Review (DUR), Alert
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
364. MedicationRequest.eventHistory
Definição | Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource.
Curto | A list of events of interest in the lifecycle
Comentários | This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).
Controlo | 0..0
Tipo | Reference(Provenance)
É modificador | false
Resumo | false
Invariantes | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)